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    DPRM RSD Form 2015

    Uploaded by

    Randy Evangelista Calayag
    This document is an affidavit of undertaking submitted by an applicant for the CY 2023 Pat/Lateral Entry Program recruitment into the Philippine National Police (PNP). In the affidavit, the applicant declares their personal details including name, date of birth, educational attainment, and acknowledges that any misrepresentation made during the recruitment process could result in administrative or criminal charges against them.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    DPRM RSD Form 2015

    Uploaded by

    Randy Evangelista Calayag
    625 views2 pages
    This document is an affidavit of undertaking submitted by an applicant for the CY 2023 Pat/Lateral Entry Program recruitment into the Philippine National Police (PNP). In the affidavit, the applicant declares their personal details including name, date of birth, educational attainment, and acknowledges that any misrepresentation made during the recruitment process could result in administrative or criminal charges against them.

    Original Title

    DPRM RSD FORM 2015

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    This document is an affidavit of undertaking submitted by an applicant for the CY 2023 Pat/Lateral Entry Program recruitment into the Philippine National Police (PNP). In the affidavit, the applicant declares their personal details including name, date of birth, educational attainment, and acknowledges that any misrepresentation made during the recruitment process could result in administrative or criminal charges against them.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    625 views2 pages

    DPRM RSD Form 2015

    Uploaded by

    Randy Evangelista Calayag
    This document is an affidavit of undertaking submitted by an applicant for the CY 2023 Pat/Lateral Entry Program recruitment into the Philippine National Police (PNP). In the affidavit, the applicant declares their personal details including name, date of birth, educational attainment, and acknowledges that any misrepresentation made during the recruitment process could result in administrative or criminal charges against them.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    DPRM RSD FORM 2015-01-C

    Republic of the Philippines


    National Police Commission
    NATIONAL HEADQUARTERS, PHILIPPINE NATIONAL POLICE
    Camp Crame, Quezon City
    AFFIDAVIT OF UNDERTAKING

    I, NHICKO JAY CABIGON PERALTA , of legal age,


    Filipino, (First Name) (Middle Name) (Last Name) (Qualifier)
    presently residing at PUROK PALLANG, BAGUTONG FLORA
    APAYAO after having, been duly sworn to in accordance with law, do hereby depose and
    state that:

    I am an applicant for this CY 2023 Pat/Lateral Entry Program (Line/Technical Officers)


    recruitment program;

    I am a graduate of B a c h e l o r o f S c i e n c e i n C r i m i n o l o g y
    (Degree/Course)
    and holder of Board of Criminology (RA 11131) eligibility.

    I was born on JULY 24 1999 (Month/Day/Year format) as appearing in my PSA


    issued birth certificate (Proof of Birth e.g. NSO issued Birth Certificate/Local Registry Birth
    Certificate), and that I am hereby notified that my declared birth date indicated herein shall
    become incontestable in so far as my service in the PNP is concerned after the lapse of six (6)
    months from the effectivity of my appointment;

    That in the event that I will file a petition to alter or correct entries in my birth records before any
    court or the CSC, I hereby undertake to first inform the DPRM (Attn: C, RMD) before filing the
    same; and

    That I am aware that any misrepresentation, omission, or misdeclaration of my birth date


    committed during the initial recruitment/appointment process, or finding that I entered the
    service below the minimum or above the maximum allowable age at the time of my
    appointment, without the necessary age waiver shall be a ground for the filing of an
    administrative case/institution of termination proceedings for dishonesty, as applicable, as well
    as the filing of criminal charges for perjury.

    Affiant

    SUBSCRIBED AND SWORN TO before me this day of

    ,
    20 , at , Philippines.

    (Notary Public)

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